You're likely to start by seeing your family doctor or primary care provider. In some cases, though, you might be referred immediately to a doctor who specializes in urinary tract disorders (urologist).
Here's some information to help you prepare for your appointment, and what to expect from your doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance to prepare for common diagnostic tests.
- Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
- Make a list of your key medical information, including any other conditions for which you're being treated, and the names of any medications, vitamins or supplements you're taking.
- Consider questions to ask your doctor and write them down. Bring along notepaper and a pen to jot down information as your doctor addresses your questions.
For hematuria, some basic questions to ask your doctor include:
- What are the possible causes of my symptoms?
- What kind of tests do I need? Do these tests require any special preparation?
- Is my condition temporary?
- Will I need treatment?
- What treatments are available?
- Do you have any brochures or other printed material that I can take home with me? What websites do you recommend visiting?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment at any time if you don't understand something.
What to expect from your doctor
Your doctor or health care provider is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any point you want to spend more time on.
Questions your doctor might ask include:
Sep. 01, 2011
- Do you have pain while urinating?
- Do you see blood in your urine only occasionally or all the time?
- When during urination is blood present? For example, do you see blood when you first start urinating or does bloody urine become apparent toward the end of your urine stream? Or do you see blood in your urine stream the entire time you're urinating?
- Are you also passing blood clots during urination? What size and shape are they?
- What medications are you taking?
- Do you smoke?
- Are you exposed to chemicals on the job? What kinds?
- Have you ever had radiation therapy?
- Gerber GS, et al. Evaluation of the urologic patient: History, physical examination, and urinalysis. Wein AJ, et al. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/151836479-3/0/1445/6.html?tocnode=54299533&fromURL=6.html#4-u1.0-B978-0-7216-0798-6..50005-4_96. Accessed Aug. 2, 2011.
- Rose BD, et al. Evaluation of hematuria in adults. http://www.uptodate.com/home/index.html. Accessed Aug. 1, 2011.
- Margulis V, et al. Assessment of hematuria. Medical Clinics of North America. 2011;95:153.
- Sandhu KS, et al. Gross and microscopic hematuria: Guidelines for obstetricians and gynecologists. Obstetrical and Gynecological Survey. 2009;64:39.
- Jimbo M. Evaluation and management of hematuria. Primary Care Clinics in Office Practice. 2010;37:461.
- McDonald MM, et al. Assessment of microscopic hematuria in adults. American Family Physician. 2006;73:1748.
- Mercieri A. Exercise-induced hematuria. http://www.uptodate.com/home/index.html. Accessed Aug. 1, 2011.
- Urinary tract infections: What you need to know. National Kidney & Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/KUDiseases/pubs/uti_ES/index.aspx. Accessed Aug. 2, 2011.
- Hematuria (blood in the urine). National Kidney & Urologic Diseases Information Clearinghouse. http://kidney.niddk.nih.gov/KUDiseases/pubs/hematuria/. Accessed Aug. 2, 2011.
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